{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T16:26:20Z","timestamp":1765643180773,"version":"3.48.0"},"reference-count":16,"publisher":"BMJ","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1971,11]]},"abstract":"<jats:p>A patient with a lymphatic cyst of the descending colon is reported. He underwent segmental resection of the colon. The clinical features, pathology, radiology, and treatment of these lesions are reviewed. It is emphasized that these cysts are very rare and cannot be diagnosed radiologically, but must be included in the differential diagnosis of polypoid lesions of the colon.<\/jats:p>","DOI":"10.1136\/gut.12.11.933","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"933-935","source":"Crossref","is-referenced-by-count":9,"title":["Lymphatic cysts of the colon"],"prefix":"10.1136","volume":"12","author":[{"given":"T. G.","family":"Girdwood","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. D.","family":"Philp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1971,11,1]]},"reference":[{"year":"1950","author":"Beahrs, Judd; Dockerty","key":"ref_1","unstructured":"(Beahrs, Judd, and Dockerty, 1950)."},{"article-title":"in colon","year":"1970","key":"ref_2","unstructured":"in colon (Fleming and Carlson, 1970)."},{"key":"ref_3","article-title":"At laparotomy the polypoidal mass was palpated To date there have been six cases of lymphatic in the upper third of the descending colon, but cysts of the colon documented; one was found in the suddenly disappeared. (Subsequently, this was ascending colon (Arnett and Friedman, 1956), one in found to be due to rupture and emptying of the cyst the hepatic flexure (Alvich and Lepow, 1960), three during palpation.) A segmental resection was underin the transverse colon (Koenig, Claudon, and taken. The resected colon was opened and a large Byrne, 1955; Higgason, 1958; Greene, Kirshen, and redundant fold of mucosa was found which was","volume-title":"Greene, 1962), and one in","year":"1970","unstructured":"At laparotomy the polypoidal mass was palpated To date there have been six cases of lymphatic in the upper third of the descending colon, but cysts of the colon documented; one was found in the suddenly disappeared. (Subsequently, this was ascending colon (Arnett and Friedman, 1956), one in found to be due to rupture and emptying of the cyst the hepatic flexure (Alvich and Lepow, 1960), three during palpation.) A segmental resection was underin the transverse colon (Koenig, Claudon, and taken. The resected colon was opened and a large Byrne, 1955; Higgason, 1958; Greene, Kirshen, and redundant fold of mucosa was found which was Greene, 1962), and one in the descending colon clearly all that remained of a ruptured cyst. The (Fleming and Carlson, 1970)."},{"article-title":"documented a case in which the patient Received for publication","year":"1971","key":"ref_4","unstructured":"documented a case in which the patient Received for publication 26 June 1971."},{"key":"ref_5","article-title":"Intestinal lymphatic cysts are thin walled, unior multilocular, are submucosal and contain serous fluid. Their aetiology is uncertain","year":"1939","unstructured":"Intestinal lymphatic cysts are thin walled, unior multilocular, are submucosal and contain serous fluid. Their aetiology is uncertain. Gerster (1939) has shown that cystic lymphangiomata may arise from cavernous lymphangiomata and may have cavernous lymphatic tissue in their walls.","journal-title":"Gerster; has shown that cystic lymphangiomata may arise from cavernous lymphangiomata and may have cavernous lymphatic tissue in their walls"},{"key":"ref_6","article-title":"first described the radiological appearences of the lesion as 'a sharply marginated peripheral oval to round colonic defect indicating an intramural location. It is associated with an intact mucosa.' They also stated that it had a variable contour and that distension of the colon with air caused the lesion to disappear. We did not find this on double-contrast enema study, but we did observe that the lesion changedinshapefromanovoid to a sphere from one radiograph to another","author":"Arnett; Friedman","year":"1956","unstructured":"Arnett and Friedman (1956) first described the radiological appearences of the lesion as 'a sharply marginated peripheral oval to round colonic defect indicating an intramural location. It is associated with an intact mucosa.' They also stated that it had a variable contour and that distension of the colon with air caused the lesion to disappear. We did not find this on double-contrast enema study, but we did observe that the lesion changedinshapefromanovoid to a sphere from one radiograph to another (Figs. 1 and 2)."},{"key":"ref_7","unstructured":"In view of the very similar appearances to colonic polyps and the fact that two of these cysts were pedunculated (Koenig et al, 1955; Greeneet al, 1962), it is not surprising to find that they have never been diagnosed radiologically. The differential diagnosis must include adenomatous polyp, submucosal lipoma, leiomyoma, enterogenous cyst, and cavernous haemangioma-in that order. Of the cysts connected with or adjacent to the colon, the enterogenous cyst is probably the most common but is normally found in the ileocaecal or rectosigmoid area.","article-title":"In view of the very similar appearances to colonic polyps and the fact that two of these cysts were pedunculated (Koenig et al, 1955; Greeneet al, 1962), it is not surprising to find that they have never been diagnosed radiologically. The differential diagnosis must include adenomatous polyp, submucosal lipoma, leiomyoma, enterogenous cyst, and cavernous haemangioma-in that order. Of the cysts connected with or adjacent to the colon, the enterogenous cyst is probably the most common but is normally found in the ileocaecal or rectosigmoid area"},{"key":"ref_8","article-title":"Resection of bowel is said to be preferable to simple excision of the lesion since Beahrs et","volume-title":"reported that two of their nine cases of extraintestinal cysts were found to be malignant and Higgason","author":"al","year":"1950","unstructured":"Resection of bowel is said to be preferable to simple excision of the lesion since Beahrs et al (1950) reported that two of their nine cases of extraintestinal cysts were found to be malignant and Higgason (1958) drew attention to the fact that a large diverticulum may form at the site of the cyst bed after local resection due to weakening of the intestinal wall."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1097\/00000658-196011000-00016","article-title":"Cystic lymphangioma of hepatic flexure of colon","volume":"152","author":"Alvich, J.P.; Lepow, H.","year":"1960","unstructured":"Alvich, J. P., and Lepow, H. 1. (1960). Cystic lymphangioma of hepatic flexure of colon. Ann. Surg., 152, 880-884.","journal-title":"Ann. Surg"},{"key":"ref_10","first-page":"67","article-title":"Lymphangioma of the colon: roentgen aspects: a case report","author":"Arnett, N.L.; Friedman, P.S.","year":"1956","unstructured":"Arnett, N. L., and Friedman, P. S. (1956) Lymphangioma of the colon: roentgen aspects: a case report. Radiology, 67,882-885.","journal-title":"Radiology"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1016\/S0039-6109(16)33090-0","article-title":"Chylous cysts of the abdomen","volume":"30","year":"1950","unstructured":"Beahrs, 0. H., Judd, E. S., Jr., and Dozkerty, M. B. (1950). Chylous cysts of the abdomen. Surg. Clin. N. Amer., 30, 1081-1096.","journal-title":"Surg. Clin. N. Amer"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"842","DOI":"10.2214\/ajr.110.4.842","article-title":"Submucosal lymphatic cysts of the gastrointestinal tract; a rare cause of submucosal mass lesion","volume":"110","author":"Fleming, M.P.; Carlson, H.C.","year":"1970","unstructured":"Fleming, M. P., and Carlson, H. C. (1970). Submucosal lymphatic cysts of the gastrointestinal tract; a rare cause of submucosal mass lesion. Amer. J. Roentgenol., 110, 842-845.","journal-title":"Amer. J. Roentgenol"},{"key":"ref_13","first-page":"389","article-title":"Retroperitoneal chyle cysts; with especial reference to the lymphangiomata","volume":"110","author":"Gerster, J.C.A.","year":"1939","unstructured":"Gerster, J. C. A. (1939). Retroperitoneal chyle cysts; with especial reference to the lymphangiomata. Ann. Surg., 110, 389-410.","journal-title":"Ann. Surg"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/0002-9610(62)90254-4","article-title":"Lymphangioma of the transverse colon","volume":"103","author":"Greene, E.I.; Kirshen, M.M.; Greene, J.M.","year":"1962","unstructured":"Greene, E. I., Kirshen, M. M., and Greene, J. M. (1962). Lymphangioma of the transverse colon. Amer. J. Surg., 103, 723-726.","journal-title":"Amer. J. Surg"},{"key":"ref_15","first-page":"850","article-title":"Lymphatic cyst of the transverse colon","volume":"79","author":"Higgason, J.M.","year":"1958","unstructured":"Higgason, J. M. (1958). Lymphatic cyst of the transverse colon. Amer. J. Roentgenol., 79, 850-853.","journal-title":"Amer. J. Roentgenol"},{"key":"ref_16","first-page":"431","article-title":"Lymphatic cyst of transverse colon","volume":"60","author":"Koenig, R.R.; Claudon, D.B.; Byrne, R.W.","year":"1955","unstructured":"Koenig, R. R., Claudon, D. B., and Byrne, R. W. (1955). Lymphatic cyst of transverse colon. Arch. Path., 60, 431.434.","journal-title":"Arch. Path"}],"container-title":["Gut"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/gut.12.11.933","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T16:23:20Z","timestamp":1765643000000},"score":1,"resource":{"primary":{"URL":"https:\/\/gut.bmj.com\/lookup\/doi\/10.1136\/gut.12.11.933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1971,11]]},"references-count":16,"journal-issue":{"issue":"11","published-online":{"date-parts":[[1971,11,1]]},"published-print":{"date-parts":[[1971,11]]}},"alternative-id":["10.1136\/gut.12.11.933"],"URL":"https:\/\/doi.org\/10.1136\/gut.12.11.933","relation":{},"ISSN":["0017-5749","1468-3288"],"issn-type":[{"type":"print","value":"0017-5749"},{"type":"electronic","value":"1468-3288"}],"subject":[],"published":{"date-parts":[[1971,11]]}}}